Study on Dependency Levels in the Oncological Patient with Respiratory Symptomatology

Fernández Ej
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Abstract

The incidence of cancer in Spain is increasing (annually 247,771 new cases diagnosed). Survival of oncological patients at 5 years of 53%. Main problem, the quality of that survival. Important conditioning factor, the levels of dependence of oncological patients in active treatment. The main objective was to evaluate the level of dependence of oncological patients with dyspnea. Methodology: Cross-sectional prospective observational study with non-probabilistic sampling of accidental allocation. The sample was recruited from the Medical Oncology Service of the University Hospital of Salamanca (CAUSA). We proceeded to refer patients to the occupational therapy program with the consequent inclusion of these in the study. After obtaining the informed consent signed by the subjects, the evaluation was proceeded. The Lawton-Brody scale (AIVD), and the Barthel index (ABVD). In addition, a record sheet for sociodemographic and clinical (age, gender and anatomopathological diagnosis) was designed. Results: Study includes the sample size of 180 participants.. Average age of 68.48 (± 10,513) years, of which 52.8% men, by 47.2% women (85 women and 95 men). Of which 22.8% had breast diagnosis, 31.7% pulmonary and 45.6% related to the digestive system. Regarding dependence levels, Lawton-Brody scale, mean score of 4.31 (± 1.832) points (moderate dependency levels); Barthel index, mean score of 42.53 (± 2,789) points (moderate dependency level). Poor scores in lung anatomopathological diagnosis. Strong and statistically significant correlation between ABVD and AIVD (r = 0.803, for p <0.05), and significant correlation (r = -0.403, for p <0.001) between age and the performance of IADL. Conclusion: Oncological patients with respiratory symptoms present moderate levels of dependence.
呼吸症状性肿瘤患者依赖水平的研究
西班牙的癌症发病率正在增加(每年新诊断247,771例)。肿瘤患者5年生存率为53%。主要问题是生存的质量。重要的制约因素,是肿瘤患者积极治疗的依赖程度。主要目的是评估肿瘤患者呼吸困难的依赖程度。方法:横断面前瞻性观察研究,随机分配的非概率抽样。样本来自萨拉曼卡大学医院肿瘤内科(CAUSA)。我们继续将患者转介到职业治疗项目,随后将这些纳入研究。在获得受试者签署的知情同意书后,进行评估。劳顿-布罗迪量表(AIVD)和巴特尔指数(ABVD)。此外,还设计了社会人口学和临床(年龄、性别和解剖病理诊断)的记录表。结果:研究包括180名参与者的样本量。平均年龄68.48(±10513)岁,其中男性占52.8%,女性占47.2%(女性85人,男性95人)。其中22.8%诊断为乳腺,31.7%诊断为肺部,45.6%诊断为消化系统。依赖程度采用Lawton-Brody量表,平均4.31(±1.832)分(中度依赖水平);Barthel指数,平均得分42.53(±2789)分(中度依赖程度)。肺解剖病理诊断评分较差。ABVD与AIVD呈显著相关(r = 0.803, p <0.05),年龄与IADL表现呈显著相关(r = -0.403, p <0.001)。结论:有呼吸道症状的肿瘤患者存在中度依赖。
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